Wilson, Freddie E

Wilson, Freddie E is an individual health care provider with primary practice located at 357 Woodruff Rd , Greenville SC 29607-3415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Wilson, Freddie E can be contacted via phone (864) 627-5337.

Contact Information

Primary practice address
357 Woodruff Rd Greenville SC 29607-3415
Phone: (864) 627-5337
Fax: (864) 627-9301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 6040 South Carolina

Profile Details

NPI number 1639176951
LBN Legal business name Wilson, Freddie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Nov 19th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639176951 NPPES
South Carolina MEDICAID 060409

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